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地塞米松抑制试验对预测门诊抑郁症患者三环类抗抑郁药疗效的作用

Dexamethasone suppression test in predicting response to tricyclic antidepressants in depressed outpatients.

作者信息

Peselow E D, Goldring N, Barouche F, Fieve R R

出版信息

Psychopathology. 1985;18(4):206-11. doi: 10.1159/000284406.

DOI:10.1159/000284406
PMID:4089119
Abstract

75 outpatients who presented to an affective disorder clinic received the dexamethasone suppression test (DST). Following 1 week observation, and following 1 week on low-dose imipramine HCl, all patients who remained depressed (Hamilton score 16 or greater) were given a full clinical trial of imipramine HCl (150-300 mg/day) over a minimum 3- to 5-week period. Of the 45 patients who required this trial and who received imipramine HCl for at least 3 weeks, there was no relationship between DST suppression or nonsuppression vs. clinical response to imipramine HCl. There was a statistically significant trend for suppressors (negative DST) to respond either spontaneously or to low-dose imipramine HCl as opposed to nonsuppressors (positive DST).

摘要

75名到情感障碍门诊就诊的门诊患者接受了地塞米松抑制试验(DST)。经过1周的观察,以及在服用低剂量盐酸丙咪嗪1周后,所有仍处于抑郁状态(汉密尔顿评分16分或更高)的患者在至少3至5周的时间内接受了盐酸丙咪嗪(150 - 300毫克/天)的全面临床试验。在45名需要进行该试验且接受盐酸丙咪嗪治疗至少3周的患者中,DST抑制或未抑制与对盐酸丙咪嗪的临床反应之间没有关联。与非抑制者(DST阳性)相比,抑制者(DST阴性)有自发反应或对低剂量盐酸丙咪嗪有反应的统计学显著趋势。

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